Individual
BRENNON DAVID
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1729 W GREENTREE DR STE 103, TEMPE, AZ 85284-2712
(602) 666-5101
Mailing address
1111 E APACHE BLVD, TEMPE, AZ 85281-8612
(928) 322-1157
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
02/17/2020
Last updated
02/17/2020
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